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HomeMy WebLinkAboutL 12114 P 429 ~ NO N.Y.S. Real Estate Transfer ITax Stamps Required LI?U4- P40Vf . -# 3FoI -Olll-O"i-Q3 Form 8.004 (9/99) - Quitclaim Deed-Individual or Corporation. (single sheet) CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY. THIS INDENTURE, made the 18th day of April , 2001 BETVVEEN WILLIAM S. MIDGLEY. JR. a/k/a WILLIAM B. 200 Skunk Lane, Cutchogue, New York 11935 and MIDGLEY, residing at \,~ OSCAR E. BLEVINS and BETH P. BLEVINS, his wife, residing party of the first partL and at 640 Haywa~ers Drive, Cutchogue, New York 11935 ~ j/ party of the second part, VVITNESSETH, that the party of the first part, in consideration of ten dollars paid hy the party of the second part, does hereby remise, release and quitclaim unto the party of the second part, the heirs or successors and assigns of the party of the second part forever,. ALL that certain plot, piece or jJarcel of land, wi.lHhe-bHileiflg&..H<l-iffi!'f"''''''''8Ill&lh<+ooR.-clOO. situate, lyin~ and bein" in the Town of Southold, at Cutchogue, County of Suffolk and' State or Ne~ York, bounded and described as follows: [~ BEGINNING at a point on the northwesterly side of Mason Drive, said point being distant 231.14 feet southwesterly from the corner formed by the intersection of the westerly side of Haywaters Drive and the northwesterly side of Mason Drive; thence from said point of beginning, across Mason Drive South 580 07' 45" East 58.05 feet to lands now or formerly of Sweeney; thence along said lands South 010 20' 00" West 372,53 feet to the water line of Haywaters Cove; thence along said Haywaters Cove North 630 58' 38" West 44.29 feet; thence still along said Haywaters Cove North 450 55' 02" West 13.29 feet to a point; thence North 010 20' 00" East 374.50 feet to the point or place of BEGINNING. BEING AND INTENDED TO BE a portion of Mason .-r Drive. ~, \^Ilr TOGETHER with all right, title and interest, if any, of the party of the first part, in and to any streets and roads abutting the above. described premises to the center lines thereof; TOGETHER with the appurtenances and all the estate and rights of the party of the first part in and to said premises: TO HAVE AND TO HOLD the premises herein granted unto the party of the seconu part, the heirs or successors and assigns of the party of the second part forever. ^!'lD th~ party or t~c first part, in compliance with Section 13 of the Lien Law, hereby l:ovcnants that the party of the fust part WIll receive the consideration for this conveyance and wi II hold the right to receive such consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will apply the same first to the payment of the cost of the improvement before using any part of the total of the same for any other purpose. The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires. IN VVITNESS VVHEREOF, the party of the first part has duly executed this deed the day and year first above WrItten. IN PRESENCE OF; 1;V,,&.v u.i ~0~ 4.~ ~ iJ:~.lt~ (1'~{:;: William S. Midgley, Jr. a/k/a William B. Midgley Page 2 of 3 ~ [i2 J Number of pages TORRENS '2 J Serial # Certificate # v Prior Ctf. # Deed / Mortgage Instrument Deed / Mortgage Tax Stamp Recording / Filing Stamps 4 FEES Page / Filing Fee Mortgage Amt. Handling TP-584 I. Basic Tax 2. Additional Tax Notation Sub Total EA-52 17 (County) EA-52 I 7 (State) Sub Total Comm. of Ed. 50~ Spec.! Assit. Or Spec. / Add. R.P.T.S.A. IS TOT. MTG. TAX Dual Town Dual County Held for Apportionment Transfer Tax Affidavit ~edcoP0 Reg. Copy GRAND TOTAL I) - Mansion Tax The property covered by this mortgage is or will be improved by a ol1e or two family dwelling only. YES or NO If NO, see appropriate tax clause on page # of this instrument. Sub Total Other 6::":_.'~~ rii;".'.:.-.~:~;<:. ~ \1 ~ (;.'"~.",, .! ~\., "';'1.-. Real Property Tax Service Agency Verificationi,/) 1 Dist. Section B lock Lot 6 Community Preservation Fund Consideration Amount $ -0- , Stamp:' arce1 deed d to the pa ty of the 1>.!;;O.(I/ by deed date April 18, 2001 Db. / 4 " Ot....,) {Vl() (' ( Imhals IOOU 0 .()u .,oJ .(.e. 'v' '(, 7 Satisfactions/Discharges/Releases List Property Owners Mailing Address RECORD & RETURN TO: CPF Tax Due $ -0- Improved Vacant Land X MICHAEL M GOLDMAN ESQ 13 BRISTOL DRIVE MANHASSET NY 11030 TD 10 TD TD 9 8 Title Company Information Co. Name Aquebogue Abstract Corporation Title # 3801-0177-0493 Suffolk Count Recordin & Endorsement Pa e This page fonns part of the attached Quitclaim Deed made by: (SPECIFY TYPE OF INSTRUMENT ) WILLIAM S.MIDGLEY, JR. a/k/a WILLIAM B. MIDGLEY The premises herein is situated in SUFFOLK COUNTY, NEW YORK. TO OSCAR E. BLEVINS and In the Township of Southold In the VILLAGE or~ETof Cutchogue BETH P. BLEVINS BOXES 5 THRU 9 MUST BE TYPED OR PRlNIED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING. Page 1 of 3 (OVER) . 1111111111111111111111111111111111111111111111111111111 1111111111111111111111111 SUFFOLK COUNTY CLERK RECORDS OFFICE RECORDING PAGE Type of Instrument: DEEDS/DDD Number of Pages: 3 TRANSFER TAX NUMBER: 00-34949 Recorded: At: LIBER: PAGE: 04/20/2001 02:52:41 PM D00012114 429 District: 1000 Section: 104.00 EXAMINED AND $0.00 Block: 05.00 CHARGED AS Lot: 000.000 FOLLOWS Deed Amount: Received the Following Fees For Above Instrument Exempt Exempt Page/Filing $9.00 NO Handling $5.00 NO COE $5.00 NO EA-CTY $5.00 NO EA-STATE $25.00 NO TP-584 $5.00 NO Cert.Copies $4.00 NO RPT $15.00 NO SCTM $0.00 NO Transfer tax $0.00 NO Comm.Pres $0.00 NO Fees Paid $73.00 TRANSFER TAX NUMBER: 00-34949 THIS PAGE IS A PART OF THE INSTRUMENT Edward P.Romaine . County Clerk, Suffolk County '''PLEASE TYPE OR PRE/>$ FIRMLY WHEN'WRITiNG ON FORM- I 'lN5Tfl~CTIONS: http:// WW\!V.oips.state.,ny.us or PHONE (518) 473-7222 FOR COUNlY cfs{ONLt I" I cuiWisOoif. .' J 0/;:7..3 6: ,~. 7 r' ~ .. cz. Date Deed Recorded C3. BOok PROPERlY INFORMATION 1. Property I Location STREET NUMBER Mason Drive STREET NAME Cutchogue VILLAGE 11935 I ZIP CODE Southold CITY OR TOWN 2. Buyer Name Blevins LAST NAME I COMPANY Oscar E. FIRST NAME Blevins LAST NAME I COMPANY Beth P. FIRST NAME 3. Tax Indicate where future Tax Bills are to be sent Billing if other than buyer address (at bottom of form) I Address REAL PROPERTY TRANSFER REPORT STATE OF NEW YORK STATE BOARD.OF REAL PROPERTY SERVICES RP - 5217 Rp.S217 Rev 3197 LAST NAME I COMPANY .. FIRST NAME STREET NUMBER AND STREET NAME CITY OR TOWN 4. Indicate the number of Assessment Roll parcels transferred on the deed '1 I # of Parcels OR D Part of a Parcel 5. Deed Property Size' ' lOR I 'ACRES' . 4.30~ Ixl FRQNTFEET DEPTH 6. Seller Name r-iidgley LAST NAME I COMPANY Will FIRST NAME STATE ZIP CODE (Only if Part of a Parcel) Check as they apply: 4A. Planning Board with Subdivision Authority Exists D 4a. Subdivision Approval was Required for Transfer D 4C. Parcel Approved for Subdivision with Map Provided D s. Jr. LAST NAME I COMPANY FtRSTNAME 7. Check the box below which most accurately describes the use of the property at the time of sale: A ~ One Family Residential B 2 or 3 Family Residential C Residential Vacant land D X Non-Residential Vacant land I SALE INFORMATION l 11. Sale Contract Date E ~ Agricultural I ~ F Commercial J G Apartment K H Entertainment I Amusement L Community Service Industrial Public Service Forest Check the boxes below as they apply: 8. Ownership Type is Condominium 9. New Construction on Vacant Land 10A. Property Located within an Agricultural District 10B. Buyer received a disclosure notice indicating that the property is in an Agricultural.District o o o o 15. Check one or more of these conditions as applicable to transfer: A Sate Between Relatives or Former Relatives B Sale Between Related Companies or Partners in Business C One of the Buyers is also a Seller D Buyer or Seiter is Government Agency or Lending Institution E Deed Type not Warranty or Bargain and Sale (Specify Below) F Sale of Fractional or less than Fee Interest (Specify Below) G Significant Change in Property Between Taxable Status and Sale Dates H Sale of Business is Included in Sale Price I Other Unusual Factors Affecting Sale Price (Specify Below) J None Quitclaim Deed 7 I 26 I 00 Month Day Year 4 I 18 I 01 Month Day Year N/A "-12, Date of Sale I Transfer , , , 0 , 0 I , , . (Full Sale Price is the total amount paid for the property including personal property. This payment may be in the form of cash, other property or goods. or the assumption of mortgages or other obligations.) Please round to the nearest whole dollar amount. N/A 14. Indicate the value of personal 1 1 I 0 I 0 I property included in the sale, , . I ASSESSMENT INFORMATION - Data should reft"", lI1e latest FInal Assessment RoH and Tax Bill I tj_ _I 16. Year of Assessment Roll from I 0 0 I I /0 c5 4 ~ hi h'n! ati . k 17. Total Assessed Valuelof all parcels in transfer) Il . wClormonaen , , 13. Full Sale Price 18. Property Class I 3, 2 .3 I-U '9. School Oiatrict Nom. I Mattituck Cutchogue UFSD 20. Tax Map Identifier(s)I Ron Identifier(s) (If more than four, attach .eet with additional identifier(sll Adjacent to parcel \ ceo I 104 - 5 - 1.2 N/A ; I ICERTH'i~~':l I certify that aD of the items of information entered on this form are true and correct (to the best of my knowledge and belief) and I understand that the making of any willful false statement of material fact herein will subject me to the provisioos ohhe penal law relative to the making and ~g of false instruments. BUYER. k(s,~:::vi. n 1,)1 U"W, -:.: l).l,,;....~ 4/18/01 Dm Goldman BUYER'S A rrORNEY Michael M. LAST NAME FIRST NAME 640 631 Haywaters Drive STREET NAME (AFTER SALE) 344-3324 AREA CODE STREET NUMBER Cutchogue CITY OR TOWN NY 11935 STATE ZIP CODE SELLER ~:A~U! ~~ 4/18/01 DATE TELEPHONE NUMBER / CITYffOWN ASSESSOR COPY \.. " <-~c.~.. _.~~~..c-...,o ;..-':--r~ I..